BILL NUMBER: AB 1340 CHAPTERED
BILL TEXT
CHAPTER 718
FILED WITH SECRETARY OF STATE SEPTEMBER 28, 2014
APPROVED BY GOVERNOR SEPTEMBER 28, 2014
PASSED THE SENATE AUGUST 21, 2014
PASSED THE ASSEMBLY AUGUST 27, 2014
AMENDED IN SENATE AUGUST 20, 2014
AMENDED IN SENATE JULY 2, 2014
AMENDED IN SENATE JUNE 16, 2014
AMENDED IN SENATE APRIL 3, 2014
AMENDED IN SENATE JUNE 18, 2013
AMENDED IN ASSEMBLY MAY 24, 2013
AMENDED IN ASSEMBLY APRIL 10, 2013
AMENDED IN ASSEMBLY APRIL 1, 2013
INTRODUCED BY Assembly Member Achadjian
(Coauthors: Assembly Members Perea and Yamada)
(Coauthors: Senators Anderson, Beall, Evans, and Wolk)
FEBRUARY 22, 2013
An act to add and repeal Section 1265.9 of, the Health and Safety
Code, and to amend Sections 4100 and 7200 of, and to add Sections
4143, 4144, and 4145 to, the Welfare and Institutions Code, relating
to mental health.
LEGISLATIVE COUNSEL'S DIGEST
AB 1340, Achadjian. Enhanced treatment programs.
Existing law establishes state hospitals for the care, treatment,
and education of mentally disordered persons. These hospitals are
under the jurisdiction of the State Department of State Hospitals,
which is authorized by existing law to adopt regulations regarding
the conduct and management of these facilities. Existing law requires
each state hospital to develop an incident reporting procedure that
can be used to, at a minimum, develop reports of patient assaults on
employees and assist the hospital in identifying risks of patient
assaults on employees. Existing law provides for the licensure and
regulation of health facilities, including acute psychiatric
hospitals, by the State Department of Public Health. A violation of
these provisions is a crime.
This bill would, commencing July 1, 2015, and subject to available
funding, authorize the State Department of State Hospitals to
establish and maintain pilot enhanced treatment programs (ETPs), as
defined, for the treatment of patients who are at high risk of most
dangerous behavior, as defined, and when safe treatment is not
possible in a standard treatment environment. The bill would
authorize the State Department of Public Health to approve, on or
after July 1, 2015, an ETP, which meets specified requirements and
regulations, as a supplemental service for an acute psychiatric
hospital that submits a completed application and is operated by the
State Department of State Hospitals.
The bill would authorize a state hospital psychiatrist or
psychologist to refer a patient to an ETP for temporary placement and
risk assessment upon a determination that the patient may be at high
risk for most dangerous behavior. The bill would require the
forensic needs assessment panel (FNAP) to conduct a placement
evaluation to determine whether the patient clinically requires ETP
placement and ETP treatment can meet the identified needs of the
patient. The bill would also require a forensic needs assessment team
(FNAT) psychologist to perform an in-depth violence risk assessment
and make a treatment plan upon the patient's admission to an ETP.
The bill would require the FNAP to conduct a treatment placement
meeting with specified individuals prior to the expiration of 90 days
from the date of placement in the ETP to determine whether the
patient may return to a standard treatment environment or the patient
clinically requires continued ETP treatment. If the FNAP determines
that the patient clinically requires continued ETP treatment, the
bill would require the FNAP to certify the patient for further ETP
treatment for one year, subject to FNAP reviews at least every 90
days, as specified. The bill would require the FNAP to conduct
another treatment placement meeting prior to the expiration of the
one-year certification of ETP placement to determine whether the
patient may return to a standard treatment environment or be
certified for further ETP treatment for another year. The bill would
also require, if the FNAP determines that the patient requires
continued ETP placement, that the patient's case be referred to a
forensic psychiatrist or psychologist outside of the State Department
of State Hospitals for independent review, that a hearing be
conducted, and notice given, as specified.
The bill would require the State Department of State Hospitals to
monitor the ETPs, evaluate outcomes, and report its findings and
recommendations to the Legislature.
Because this bill would create a new crime, it imposes a
state-mandated local program.
The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
This bill would provide that no reimbursement is required by this
act for a specified reason.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. (a) The Legislature finds and declares that the State
Department of State Hospitals delivers inpatient mental health
treatment to over 6,000 patients through more than 10,000 department
employees. Their goal is to improve the lives of patients diagnosed
with severe mental health conditions who have been assigned to their
hospitals and units. In the experience of the department, there can
be no effective clinical treatment without safety for its patients
and employees, and no safety without effective clinical treatment.
(b) It is the intent of the Legislature in enacting this bill to
expand the range of available clinical treatment by establishing
pilot enhanced treatment programs (ETP) for those patients determined
to be at high risk of most dangerous behavior against other patients
or hospital staff. The goal of these pilot ETPs is to evaluate the
effectiveness of concentrated, evidence-based clinical therapy and
treatment in an environment designed to improve these patients'
conditions and return them to the general patient population.
(c) The Legislature finds and declares that the purpose of the
establishment of the pilot ETPs within the State Department of State
Hospitals is to test the effectiveness of providing improved
treatment with a heightened secure setting to patients with a
demonstrated and sustained risk of aggressive, violent behavior
toward other patients and staff.
(d) It is the intent of the Legislature that the criteria
established for placement in an ETP within the State Department of
State Hospitals cannot be used to circumvent the statutory and
regulatory criteria for use of seclusion and restraints, as defined
by Section 1180.1 of the Health and Safety Code, but is instead
another level of continuum of care for the patient receiving
treatment in an ETP.
SEC. 2. Section 1265.9 is added to the Health and Safety Code, to
read:
1265.9. (a) On and after July 1, 2015, any acute psychiatric
hospital that submits a completed application and is operated by the
State Department of State Hospitals may be approved by the State
Department of Public Health to offer, as a supplemental service, an
Enhanced Treatment Program (ETP) that meets the requirements of this
section, Section 4144 of the Welfare and Institutions Code, and
applicable regulations.
(b) This section shall remain in effect for each pilot ETP until
January 1 of the fifth calendar year after each pilot ETP site has
admitted its first patient, and is repealed as of January 1 of the
fifth calendar year after each pilot ETP site has admitted its first
patient, unless a later enacted statute extending the program is
enacted prior to those dates. The State Department of State Hospitals
shall post a declaration on its Internet Web site when the condition
for repealing this section is met stating that this section is
repealed.
(c) (1) Prior to the admission of the first patient into the last
pilot ETP, the State Department of Public Health may adopt emergency
regulations in accordance with the Administrative Procedure Act
(Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3
of Title 2 of the Government Code) to implement this section. The
adoption of an emergency regulation under this paragraph is deemed to
address an emergency, for purposes of Sections 11346.1 and 11349.6
of the Government Code, and the State Department of Public Health is
hereby exempted for this purpose from the requirements of subdivision
(b) of Section 11346.1 of the Government Code.
(2) As an alternative to paragraph (1) and notwithstanding the
rulemaking provisions of Administrative Procedures Act (Chapter 3.5
(commencing with Section 11340) of Part 1 of Division 3 of Title 2 of
the Government Code), the director of the State Department of Public
Health may implement this section, in whole or in part, by means of
an all facility letter or other similar instruction.
(d) An ETP shall meet all of the following requirements:
(1) Maintain a staff-to-patient ratio of one to five.
(2) Limit each room to one patient.
(3) Each patient room shall allow visual access by staff 24 hours
per day.
(4) Each patient room shall have a toilet and sink in the room.
(5) Each patient room door shall have the capacity to be locked
externally. The door may be locked when clinically indicated and
determined to be the least restrictive treatment environment for the
patient's care and treatment pursuant to Section 4144 of the Welfare
and Institutions Code, but shall not be considered seclusion, as
defined by subdivision (e) of Section 1180.1, for purposes of
Division 1.5 (commencing with Section 1180).
(6) Provide emergency egress for ETP patients.
(7) In the event seclusion or restraints, as defined by Section
1180.1, are used in an ETP, all state licensing and regulations shall
be followed.
(8) A full-time independent patients' rights advocate who provides
patients' rights advocacy services shall be assigned to each ETP.
(e) The ETPs shall adopt and implement policies and procedures
necessary to encourage patient improvement, recovery, and a return to
a standard treatment environment, and to create identifiable
facility requirements and bench marks. The policies and procedures
shall also provide all of the following:
(1) Criteria and process for admission into an ETP pursuant to
Section 4144 of the Welfare and Institutions Code.
(2) Clinical assessment and review focused on behavior, history,
high risk of most dangerous behavior, and clinical need for patients
to receive treatment in an ETP as the least restrictive treatment
environment.
(3) A process for identifying an ETP along a continuum of care
that will best meet the patient's needs, including least restrictive
treatment environment.
(4) A process for creating and implementing a treatment plan with
regular clinical review and reevaluation of placement back into a
standard treatment environment and discharge and reintegration
planning as specified in subdivision (e) of Section 4144 of the
Welfare and Institutions Code.
(f) Patients who have been admitted to an ETP shall have the same
rights guaranteed to patients not in an ETP with the exception set
forth in paragraph (5) of subdivision (d).
(g) For purposes of paragraph (1) of subdivision (d), "staff"
means licensed nurses and psychiatric technicians providing direct
patient care.
SEC. 3. Section 4100 of the Welfare and Institutions Code is
amended to read:
4100. The department has jurisdiction over the following
hospitals:
(a) Atascadero State Hospital.
(b) Coalinga State Hospital.
(c) Metropolitan State Hospital.
(d) Napa State Hospital.
(e) Patton State Hospital.
(f) Any other State Department of State Hospitals facility subject
to available funding by the Legislature.
SEC. 4. Section 4143 is added to the Welfare and Institutions
Code, to read:
4143. Commencing July 1, 2015, and subject to available funding,
the State Department of State Hospitals may establish and maintain
pilot enhanced treatment programs (ETPs), as defined in Section
1265.9 of the Health and Safety Code, and evaluate the effectiveness
of intensive, evidence-based clinical therapy and treatment of
patients described in Section 4144.
SEC. 5. Section 4144 is added to the Welfare and Institutions
Code, to read:
4144. (a) A state hospital psychiatrist or psychologist may refer
a patient to a pilot enhanced treatment program (ETP), as defined in
Section 1265.9 of the Health and Safety Code, for temporary
placement and risk assessment upon determining that the patient may
be at high risk of most dangerous behavior and when safe treatment is
not possible in a standard treatment environment. The referral may
occur after admission to the State Department of State Hospitals, and
after sufficient and documented evaluation of violence risk of the
patient, with notice to the patients' rights advocate at the time of
the referral. A patient shall not be placed into an ETP as a means of
punishment, coercion, convenience, or retaliation.
(b) Within three business days of placement in an ETP, a dedicated
forensic evaluator, who is not on the patient's treatment team,
shall complete an initial evaluation of the patient that shall
include an interview of the patient's treatment team, an analysis of
diagnosis, past violence, current level of risk, and the need for
enhanced treatment.
(c) (1) Within seven business days of placement in an ETP and with
72-hour notice to the patient and patients' rights advocate, the
forensic needs assessment panel (FNAP) shall conduct a placement
evaluation meeting with the referring psychiatrist or psychologist,
the patient and patients' rights advocate, and the dedicated forensic
evaluator who performed the initial evaluation. A determination
shall be made as to whether the patient clinically requires ETP
treatment.
(2) (A) The threshold standard for treatment in an ETP is met if a
psychiatrist or psychologist, utilizing standard forensic
methodologies for clinically assessing violence risk, determines that
a patient meets the definition of a patient at high risk of most
dangerous behavior and ETP treatment meets the identified needs of
the patient and safe treatment is not possible in a standard
treatment environment.
(B) Factors used to determine a patient's high risk of most
dangerous behavior may include, but are not limited to, an analysis
of past violence, delineation of static and dynamic violence risk
factors, and utilization of valid and reliable violence risk
assessment testing.
(3) If a patient has shown improvement during his or her placement
in an ETP, the FNAP may delay its certification decision for another
seven business days. The FNAP's determination of whether the patient
will benefit from continued or longer term ETP placement and
treatment shall be based on the threshold standard for treatment in
an ETP specified in subparagraph (A) of paragraph (2).
(d) (1) The FNAP shall review all material presented at the FNAP
placement evaluation meeting conducted under subdivision (c), and the
FNAP shall either certify the patient for 90 days of treatment in an
ETP or direct that the patient be returned to a standard treatment
environment in the hospital.
(2) After the FNAP makes a decision to provide ETP treatment and
if ETP treatment will be provided at a facility other than the
current hospital, the transfer may take place as soon as
transportation may reasonably be arranged, but no later than 30 days
after the decision is made.
(3) The FNAP determination shall be in writing and provided to the
patient and patients' rights advocate as soon as possible, but no
later than three business days after the decision is made.
(e) (1) Upon admission to an ETP, a forensic needs assessment team
(FNAT) psychologist who is not on the patient's multidisciplinary
treatment team shall perform an in-depth violence risk assessment and
make an individual treatment plan for the patient based on the
assessment. The individual treatment plan shall:
(A) Be in writing and developed in collaboration with the patient,
when possible. The initial treatment plan shall be developed as soon
as possible, but no later than 72 hours following the patient's
admission. The comprehensive treatment plan shall be developed
following a complete violence risk assessment.
(B) Be based on a comprehensive assessment of the patient's
physical, mental, emotional, and social needs, and focused on
mitigation of violence risk factors.
(C) Be reviewed and updated no less than every 10 days.
(2) The individual treatment plan shall include, but is not
limited to, all of the following:
(A) A statement of the patient's physical and mental condition,
including all mental health and medical diagnoses.
(B) Prescribed medication, dosage, and frequency of
administration.
(C) Specific goals of treatment with intervention and actions that
identify steps toward reduction of violence risk and observable,
measurable objectives.
(D) Identification of methods to be utilized, the frequency for
conducting each treatment method, and the person, or persons, or
discipline, or disciplines, responsible for each treatment method.
(E) Documentation of the success or failure in achieving stated
objectives.
(F) Evaluation of the factors contributing to the patient's
progress or lack of progress toward reduction of violence risk and a
statement of the multidisciplinary treatment decision for followup
action.
(G) An activity plan.
(H) A plan for other services needed by the patient, such as care
for medical and physical ailments, which are not provided by the
multidisciplinary treatment team.
(I) Discharge criteria and goals for an aftercare plan in a
standard treatment environment and a plan for post-ETP discharge
follow up.
(3) An ETP patient shall receive treatment from a
multidisciplinary team consisting of a psychologist, a psychiatrist,
a nurse, a psychiatric technician, a clinical social worker, a
rehabilitation therapist, and any other necessary staff who shall
meet as often as necessary, but no less than once a week, to assess
the patient's response to treatment.
(4) The staff shall observe and note any changes in the patient's
condition and the treatment plan shall be modified in response to the
observed changes.
(5) Social work services shall be organized, directed, and
supervised by a licensed clinical social worker.
(6) (A) Mental health treatment programs shall provide and conduct
organized therapeutic social, recreational, and vocational
activities in accordance with the interests, abilities, and needs of
the patients, including the opportunity for exercise.
(B) Mental health rehabilitation therapy services shall be
designed by and provided under the direction of a licensed mental
health professional, a recreational therapist, or an occupational
therapist.
(7) An aftercare plan for a standard treatment environment shall
be developed.
(A) A written aftercare plan shall describe those services that
should be provided to a patient following discharge, transfer, or
release from an ETP for the purpose of enabling the patient to
maintain stabilization or achieve an optimum level of functioning.
(B) Prior to or at the time of discharge, transfer, or release
from an ETP, each patient shall be evaluated concerning the patient's
need for aftercare services. This evaluation shall consider the
patient's potential housing, probable need for continued treatment
and social services, and need for continued medical and mental health
care.
(C) Aftercare plans shall include, but shall not be limited to,
arrangements for medication administration and follow-up care.
(D) A member of the multidisciplinary treatment team designated by
the clinical director shall be responsible for ensuring that the
aftercare plan has been completed and documented in the patient's
health record.
(E) The patient shall receive a copy of the aftercare plan when
referred to a standard treatment environment.
(f) Prior to the expiration of 90 days from the date of placement
in an ETP and with 72-hour notice provided to the patient and the
patients' rights advocate, the FNAP shall convene a treatment
placement meeting with a psychologist from the treatment team, a
patients' rights advocate, the patient, and the FNAT psychologist who
performed the in-depth violence risk assessment. The FNAP shall
determine whether the patient may return to a standard treatment
environment or whether the patient clinically requires continued
treatment in an ETP. If the FNAP determines that the patient
clinically requires continued ETP placement, the patient shall be
certified for further ETP placement for one year. The FNAP
determination shall be in writing and provided to the patient and the
patients' rights advocate within 24 hours of the meeting. If the
FNAP determines that the patient is ready to be transferred to a
standard treatment environment, the FNAP shall identify appropriate
placement within a standard treatment environment in a state
hospital, and transfer the patient within 30 days of the
determination.
(g) If a patient has been certified for ETP treatment for one year
pursuant to subdivision (f), the FNAP shall review the patient's
treatment summary at least every 90 days to determine if the patient
no longer clinically requires treatment in the ETP. This FNAP
determination shall be in writing and provided to the patient and the
patients' rights advocate within three business days of the meeting.
If the FNAP determines that the patient no longer clinically
requires treatment in the ETP, the FNAP shall identify appropriate
placement, and transfer the patient within 30 days of the
determination.
(h) Prior to the expiration of the one-year certification of ETP
placement under subdivision (f), and with 72-hour notice provided to
the patient and the patients' rights advocate, the FNAP shall convene
a treatment placement meeting with the treatment team, the patients'
rights advocate, the patient, and the FNAT psychologist who
performed the in-depth violence risk assessment. The FNAP shall
determine whether the patient clinically requires continued ETP
treatment. The FNAP determination shall be in writing and provided to
the patient and the patients' rights advocate within 24 hours of the
meeting.
(i) If after the treatment placement meeting described in
subdivision (h), and after discussion with the patient, the patients'
rights advocate, patient's ETP team members, and review of documents
and records, the FNAP determines that the patient clinically
requires continued ETP placement, the patient's case shall be
referred outside of the State Department of State Hospitals to a
forensic psychiatrist or psychologist for an independent medical
review for the purpose of assessing the patient's overall treatment
plan and the need for ongoing ETP treatment. Notice of the referral
shall be provided to the patient and the patients' rights advocate
within 24 hours of the FNAP meeting as part of the FNAP
determination. The notice shall include instructions for the patient
to submit information to the forensic psychiatrist or psychologist
conducting the independent medical review.
(1) The forensic psychiatrist or psychologist conducting the
independent medical review shall be provided with the patient's
medical and psychiatric documents and records, along with any
additional information submitted by the patient, within five business
days from the date of the FNAP's determination that the patient
requires continued ETP placement.
(2) After reviewing the patient's medical and psychiatric
documents and records, along with any additional information
submitted by the patient, but no later than 14 days after the receipt
of the patient's medical and psychiatric documents and records, the
forensic psychiatrist or psychologist conducting the independent
medical review shall provide the State Department of State Hospitals,
the patient, and the patients' rights advocate with a written notice
of the date and time for a hearing. At least one FNAP member is
required to attend the hearing. The notice shall be provided at least
72 hours in advance of the hearing, shall include a statement that
at least one FNAP member is required to attend the hearing, and
advise the patient of his or her right to a hearing or to waive his
or her right to a hearing. The notice shall also include a statement
that the patient may have assistance of a patients' rights advocate
or staff member at the hearing. Seventy-two-hour notice shall also be
provided to any individuals whose presence is requested by the
forensic psychiatrist or psychologist conducting the independent
medical review in order to help assess the patient's overall
treatment plan and the need for ongoing ETP treatment.
(3) If the patient waives his or her right to a hearing, the
forensic psychiatrist or psychologist conducting the independent
medical review shall make recommendations to the FNAP on whether or
not the patient should be certified for ongoing ETP treatment.
(4) If the patient does not waive the right to a hearing, both of
the following shall be provided:
(A) If the patient elects to have the assistance of a patients'
rights advocate or a staff person, including the patients' rights
advocate, the requested person shall provide assistance relating to
the hearing, whether or not the patient is present at the hearing,
unless the forensic psychiatrist or psychologist conducting the
hearing finds good cause why the requested person should not
participate. Good cause includes a reasonable concern for the safety
of a staff member requested to be present at the hearing.
(B) An opportunity for the patient to present information,
statements, or arguments, either orally or in writing, to show either
that the information relied on for the FNAP's determination for
ongoing treatment is erroneous, or any other relevant information.
(5) The conclusion reached by the forensic psychiatrist or
psychologist who conducts the independent medical review shall be in
writing and provided to the State Department of State Hospitals, the
patient, and the patients' rights advocate within three business days
of the conclusion of the hearing.
(6) If the forensic psychiatrist or psychologist who conducts the
independent medical review concludes that the patient requires
ongoing ETP treatment, the patient shall be certified for further
treatment for an additional year.
(7) If the forensic psychiatrist or psychologist who conducts the
independent medical review determines that the patient no longer
requires ongoing ETP treatment, the FNAP shall identify appropriate
placement and transfer the patient within 30 days of determination.
(j) At any point during the ETP placement, if a patient's
treatment team determines that the patient no longer clinically
requires ETP treatment, a recommendation to transfer the patient out
of the ETP shall be made to the FNAT or FNAP.
(k) The process described in this section may continue until the
patient no longer clinically requires ETP treatment or until the
patient is discharged from the State Department of State Hospitals.
( l ) As used in this section, the following terms have
the following meanings:
(1) "Enhanced treatment program" or "ETP" means a supplemental
treatment unit as defined in Section 1265.9 of the Health and Safety
Code.
(2) "Forensic needs assessment panel" or "FNAP" means a panel that
consists of a psychiatrist, a psychologist, and the medical director
of the hospital or facility, none of whom are involved in the
patient's treatment or diagnosis at the time of the hearing or
placement meetings.
(3) "Forensic needs assessment team" or "FNAT" means a panel of
psychologists with expertise in forensic assessment or violence risk
assessment, each of whom are assigned an ETP case or group of cases.
(4) "In-depth violence risk assessment" means the utilization of
standard forensic methodologies for clinically assessing the risk of
a patient posing a substantial risk of inpatient aggression.
(5) "Patients' rights advocate" means the advocate contracted
under Sections 5370.2 and 5510.
(6) "Patient at high risk of most dangerous behavior" means the
individual has a history of physical violence and currently poses a
demonstrated danger of inflicting substantial physical harm upon
others in an inpatient setting, as determined by an evidence-based,
in-depth violence risk assessment conducted by the State Department
of State Hospitals.
(m) The State Department of State Hospitals may adopt emergency
regulations in accordance with the Administrative Procedures Act
(Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3
of Title 2 of the Government Code) to implement the treatment
components of this section. The adoption of an emergency regulation
under this paragraph is deemed to address an emergency, for purposes
of Sections 11346.1 and 11349.6 of the Government Code, and the State
Department of State Hospitals is hereby exempted for this purpose
from the requirements of subdivision (b) of Section 11346.1 of the
Government Code.
SEC. 6. Section 4145 is added to the Welfare and Institutions
Code, to read:
4145. (a) The State Department of State Hospitals shall monitor
the pilot enhanced treatment programs (ETP), evaluate outcomes, and
report on its findings and recommendations. This report shall be
provided to the fiscal and policy committees of the Legislature
annually, beginning on January 10 of the first year after which the
first ETP is opened and services have commenced, and shall be in
compliance with Section 9795 of the Government Code. The evaluation
shall include, but is not limited to, all of the following:
(1) Comparative summary information regarding the characteristics
of the patients served.
(2) Compliance with staffing requirements.
(3) Staff classification to patient ratio.
(4) Average monthly occupancy.
(5) Average length of stay.
(6) The number of residents whose length of stay exceeds 90 days.
(7) The number of patients with multiple stays.
(8) The number of patients whose discharge was delayed due to lack
of available beds in a standard treatment environment.
(9) Restraint and seclusion use, including the number of incidents
and duration, consistent with paragraph (3) of subdivision (d) of
Section 1180.2 of the Health and Safety Code.
(10) Serious injuries to staff and residents.
(11) Serious injuries to staff and residents related to the use of
seclusion and restraints as defined under Section 1180 of the Health
and Safety Code.
(12) Staff turnover.
(13) The number of patients' rights complaints, including the
subject of the complaint and its resolution.
(14) Type and number of training provided for ETP staff.
(15) Staffing levels for ETPs.
(b) The State Department of State Hospitals' reporting
requirements under Section 4023 of the Welfare and Institutions Code,
shall apply to the ETPs.
SEC. 7. Section 7200 of the Welfare and Institutions Code is
amended to read:
7200. There are in the state the following state hospitals for
the care, treatment, and education of the mentally disordered:
(a) Metropolitan State Hospital near the City of Norwalk, Los
Angeles County.
(b) Atascadero State Hospital near the City of Atascadero, San
Luis Obispo County.
(c) Napa State Hospital near the City of Napa, Napa County.
(d) Patton State Hospital near the City of San Bernardino, San
Bernardino County.
(e) Coalinga State Hospital near the City of Coalinga, Fresno
County.
(f) Any other State Department of State
Hospitals facility subject to available funding by the Legislature.
SEC. 8. No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.